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Home My WebLink Abouth2020-0398 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIIIII�III�IIIIIII�III�IIIIIIIII MECHANICAL Permit: H2O20-0398 100 Civic Center Drive, Newport Beach, CA 92660 H 2 I 2 0 13 9 8 k Project No: F• "`; Permit Counter Phone (949)644-3288 "4zveyfi' - Inspection Requests Phone (949)644-3255 Job Address: 4206 RIVER AVE Bldg:1 Floor: Suite: Description of Work. MECH/CHANGE OUT (1) A/C 49.8DdB JZkALWJANoLER InspectorArea:1 Code Edit:2019 If d Legal Description: CANAL SECTION BLK 242 LOT 4 x !J .g�°%, Or ❑ I EI()c% ref Und Owner: BENSON NUEL Contr for R E ERVIC Worker's Comp Insurance Address: 4206RIVERRVE '`4kddr, I*5, IDG L #201 Carrier: LIBERTY INS `> NEWPORT BEACH CA 921HI 8 {p Vd lUrrl: 631 19 Phone: i a Vie: 9- 0 Expire:l0/01/2020 c Con State Lic: 795556 Issued Date:07/15/2020 Lic Expire: 0 ;G u°�i� - 56 �, Processed By: `` is LAf lip, 0§. ED HVAC Items S = Furnaces Boilers & Compressors Ventilation & -� s s r; I s; a a g p Other Up to 100K BTU/hr.: 0 �$0 OOp1tr53IP'.,: x OF,�„r`� aBathroom $0.00 Fire Dampgr�s: 0 00.`-' $0.00 Over 100K BTU/hr. 0 `$0 00. ; YIP f(Al ` O' 01 $0.00 Exhaust Fan: 0� iC befi0�ri.(a f5d 0 $ 00 %J $0.00,,, Wall/Floor Heaters, 0 $0.00 >15 Ni1 ,iajpkt��;r ed)B0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $ O`` Heat Pumps & Package Units >30 P to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 " Record Mgt Fee: $ .00° Up to 100K BTU/hr: 1 $r 0.00 >50 HP: 0 $0.00 Residential Hood: 0 -" $ .000. :Investigation: $0.00 Over 500K BTU/hr: 0 �00D = c` Air Handlin m. ood: 0 $0.00 EiEi$[BIS: * :Plan Check: $41.76 Up to 1M BTU/hr. 0 $0300 up to 10K CFM: 2 $28.00 RepaidAlter/Add: 0 1a481: ssuance $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: en a ee: $M Over 1.75M BTU/hr: 0 $0.01Y_._._ Box: 0 -- Zoning PC: $41.50 TOTAL: $166.26 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $166.26 .. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hoursp+nday- �nday,7r00 $`Ifr.tn•¢:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. oo` o s ae iYY pY 4Y 0 Y 44G i�l� rNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ,iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an owner of property who builds or improves theregn, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). L-I I am exempt from lie By my signature below I knowledge that, except r p o al si n e' hi I must have rest a or a leastone year prlo sell a structure that I hav built s an owner -builder I h n bee ns mct in s entirety by licensed contractors. I understand that a copy of the applic Professions Code, is ava able est when t Is is to s s Itted wing Web sl1e:http�dwww,ledirtfo �wcalaw.html. Signature of Property er or Authorized Agent LICENSED CONTRA TOR'S DECLARATION I hereby affirm under per Ity o 1 am ' un ovi s o he I with Se fv r�n� OIf�jGi io ��Q��IIF and effect. _ '7 License Class nS o „ i [ 1- , M , Contractor Signature,'.�E-n�- WORKERS' COMPE AT RAT' 1 6' C Onoc WARNING: FAILURE TO SECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND COST OF COMPENSATION, D AGE OVI D FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under pe Ity o erju of th n ❑ I have and will main in a erti t f co s urPIRED nthe Director of Industrial Relations as provides performance of the work r w - is i P 1 have and will maint h workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which insurance cam a pol y num rare: Carrier _� licy Number Expiration Date _ Name of Agen _ ❑I certify that, in the pe orm a sh pe ii cal b o the w that, if I should become bjec t thew om n rov' ' ecllon 3700 of the Labor Code, I shall fgqrthwdh comply h those provisio s. nc Signature of Applicant .� DECLARATION REG NG CONSTRUC LENDING AGENCY I hereby affirm RING IIry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3C Lender's Name der's-Address-- By my signature below, Icertify to each of the following: , I am the property o na. m aut:lovzed to Set en the -property -owners behalf. '1'=S if"91f;.RSJ: I have read this app DaliDlr.a®d ,, ._._�_.:__ I agree to comply with all applicable city and county or Inane and state laws vela Wing construction. I authorize representatives of this city or county to n I property for inspection purposes. Signature of Property Owner or Authorized Agent .-- . _� Print Property Owner's or Authorized Agent's Name i ACTION DATE BY DECLARAT/ON OF COMPIIANCEWITR CODE OF FEDERAL REGULATIOLV�,PART 6.7 OF IVILE40AMD . PERMlTEXPiRED AQMORULE1403•. ❑ ISUBMITTEQA$MST05NbJWICATIOMTOr PERMITCANCEUED ❑ EPA ••° ••� •a� i+ re• �• PERMITFXTENDED ❑ AQMD ❑ ASBESTOS NOTIflCAT/0N15 NOT APPLICABLE TO PERMIT FINAL PROPOSED OEMOQ.T,ON,.. • • • ° CERTrHCATE OP • • • a • • • ° • s SIGNATURE. • • • s e OCCUPANCYfSSUEO m o ° 3 e ^ • . �" _ °.. Section 7044 of the Business and Date Code, and my license is in full force DOLLARS ($100,0001, IN ADDITION TO THE 3700 of the Labor Code, for is issued. My workers' laws of California, and